Every practice faces operational hurdles—from complex coding rules to clunky EMRs. But for a high-volume clinic, these everyday challenges can quietly add up to a six-figure revenue gap by year-end.

In this episode, we break down common billing pain points that impact your bottom line. We explore typical front office and billing hurdles—like cautious undercoding, unauthorized write-offs, and building true AR accountability—and share actionable ways to empower your team and safeguard your revenue.

Resources Mentioned:

• 2026 Margin Protection Playbook
• Free Eligibility and Billing Verification Guide
• Complimentary Billing Metric Audit

Resources Mentioned:

• Free Eligibility Checker
• 2026 Margin Protection Playbook

You know how to practice medicine. But do you know how to get paid for it? The gap between your clinical work and the codes on a claim is where most practices lose revenue. This episode is for you.

We translate 10 common clinical scenarios into the language of billing. Learn how your documentation for prescription management, injections, and high-acuity visits directly impacts your practice's revenue. This is a practical guide for clinicians who want to understand the "why" behind the codes and confidently capture the full value of their work.

Are you tired of being underpaid by insurance companies? For years, payers have held all the cards in contract negotiations, forcing independent practices to accept low reimbursement rates. But the game has changed.

In this episode, we reveal how your practice can use new, federally mandated price transparency data to negotiate a rate increase. We provide a step-by-step playbook for building a data-driven case, initiating the negotiation, and securing the rates you deserve.

Stop leaving money on the table. It’s time to fight back.

Resources Mentioned:

• Eligibility Verification Guide
• Margin Protection Playbook

High-deductible health plans are crushing your practice’s cash flow. If you’re still using old-school patient collection methods, you’re leaving thousands on the table every single month.

In this episode, we break down nine specific, actionable strategies that top-performing practices are using right now to collect more patient balances, faster. No fluff, no theory—just a practical playbook for getting paid in 2026.

Resources Mentioned:

• Free Eligibility and Billing Verification Guide
• 2026 Margin Protection Playbook
• Complimentary Billing Metric Audit

The single biggest hiring mistake a medical practice can make is hiring front desk staff for their resume and not their attitude. Research shows 89% of hiring failures are due to attitude, not a lack of skills. Yet most practices continue to hire for EHR experience and hope for the best. This is the root cause of the revolving door at your front desk.

In this episode, we share a proven framework to stop the churn. Learn how to hire for attitude and train for skill, using behavioral interview questions and a structured hiring process. We also cover five data-backed tactics from the MGMA for retaining the great people you hire, including creating career ladders and effective onboarding. Stop wasting time and money on bad hires. This episode will show you how.

Free Guides Mentioned in This Episode:

• 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook
• Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/

Prior authorization has officially changed and medical practices need to act now.

As of January 1, 2026, new CMS prior authorization rules are in effect, including faster Medicare Advantage decision timelines, new prior auth requirements for 17 traditional Medicare services, and a shift away from fax-based workflows toward electronic APIs.

In this episode, we break down the three biggest prior authorization changes for 2026 and share a simple 3-step action plan to help OB/GYN, urgent care, and specialty practices reduce denials and protect cash flow.

👉 Learn how prepared your practice really is. Visit natrevmd.com for free resources and a complimentary billing metric audit.

Free Guides Mentioned in This Episode:

• 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook
• Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/

What if your OB/GYN practice could generate an additional $70,000+ in revenue without adding more patient visits?

In this episode, Dr. Heather Signorelli breaks down Advanced Primary Care Management (APCM)—a new set of Medicare codes introduced in 2025 that reimburse practices for the ongoing care management many providers are already delivering.

From care coordination and medication management to managing complex or high-risk patients, OB/GYN practices often perform significant work outside of office visits that historically hasn’t been reimbursed.

Dr. Signorelli explains how APCM works, why OB/GYN practices may qualify, and how implementing this program could unlock new revenue opportunities for your practice.

👉 Want to see if your practice could benefit from APCM? Learn more at NatrevMD.com.

Free Guides Mentioned in This Episode:

• 2026 Margin Protection Playbook: https://natrevmd.com/margin-playbook
• Eligibility & Billing Verification Guide: https://natrevmd.com/eligibility-billing-verification/

In the final installment of The Practice Health Scorecard, we’re talking about the most important part of your practice: growth.

A profitable, efficient practice is wonderful, but it’s worthless if the flywheel isn’t spinning. If you’re not consistently bringing in new patients and retaining the ones you have, your practice will eventually stagnate and decline.

Ready for a change in RCM services? Check us out at NatRevMD.com